ICD-10 M19.011
Billable / SpecificPrimary osteoarthritis, right shoulder
About ICD-10-CM M19.011
ICD-10-CM code M19.011 represents Primary osteoarthritis, right shoulder. This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M19). The 2026 edition of ICD-10-CM M19.011 became effective on October 1, 2025.
Medicare LCD Coverage for M19.011
Local Coverage Determinations (LCDs) from CMS MACs that list M19.011 as a covered diagnosis.
Showing top 10 of 376 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing M19.011.
2 Cigna
5 Medicare
CPT Codes Commonly Billed with M19.011
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 20610 Joint injection major — knee OA, hip OA, shoulder OA, shoulder impingement, joint pain, meniscal derangement, synovitis, bursitis Orthopedics
- 29826 Shoulder arthroscopy acromioplasty — rotator cuff impingement, shoulder OA, loose body, cervical spondylolisthesis Orthopedics
- 73221 MRI shoulder without contrast — rotator cuff impingement/tear, shoulder injury, shoulder pain, loose body, shoulder dislocation, shoulder OA Orthopedics
- 23472 CMS LCD: Billing and Coding: Total Shoulder Arthroplasty CMS LCD
Convert M19.011 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| M19.011 | 71511 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To M19.011
Other codes in section M15-M19 (Osteoarthritis).
ICD-10 M19.011, Billing FAQ
Is ICD-10 code M19.011 billable? +
Yes, M19.011 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What CPT codes are commonly billed with M19.011? +
Procedures frequently paired with M19.011 include: 20610, 29826, 73221, 23472.
What ICD-9 codes does M19.011 map to? +
Per CMS GEMs, M19.011 maps to ICD-9 codes: 71511. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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